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General NPI Number Information
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NPI Number | 1790036895
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Entity Type | Individual
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Provider Name | CYNTHIA L. ALEXANDER PH.D., J.D.
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Gender | Female
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Dates
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Enumeration Date | 09/28/2012
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 9933 WEST HAYES STREET, OLD MADIGAN NATIONAL CENTER FOR TELEHEALTH & TECHNOLOGY (T2)
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City | JOINT BASE LEWIS-MCCHORD
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State | WA
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Zip | 98431
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Country | US
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Telephone | 703-402-3686
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 1ST AVE APT. 217
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City | SEATTLE
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State | WA
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Zip | 98101-3405
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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